From thoughts to obsessions: obsessive compulsive disorder in children and adolescents

256 Pages·1999·1.25 MB·English

by  Per Hove Thomsen

From Thoughts to Obsessions : Obsessive
title: Compulsive Disorder in Children and
Adolescents
author: Thomsen, Per Hove.
publisher: Jessica Kingsley Publishers
isbn10 | asin: 1853027219
print isbn13: 9781853027215
ebook isbn13: 9780585123431
language: English
Obsessive-compulsive disorder in children,
subject Obsessive-compulsive disorder in
adolescence.
publication date: 1999
lcc: RJ506.O25T4813 1999eb
ddc: 618.92/85227
Obsessive-compulsive disorder in children,
subject:
Obsessive-compulsive disorder in
adolescence.
Page 1
From Thoughts to Obsessions
Page 2
of related interest
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Page 3
From Thoughts to Obsessions
Obsessive Compulsive Disorders in Children and
Adolescents
Per Hove Thomsen
Jessica Kingsley Publishers
London and Philadelphia
Page 4
Acknowledgements
Appendix I is reproduced from the Children's Yale-Brown Obsessive
Compulsive Scale (CY-BOCS) by kind permission of Dr Wayne
Goodman. © 1991 Wayne Goodman.
Appendix II is reproduced with permission from the ICD-10
Statistical Classification of Diseases and Related Health Problems.
Tenth revision. Published by the World Health Organization, 1992.
Appendix III is reprinted with permission from the Diagnostic and
Statistical Manual of Mental Disorders. Fourth edition. © 1994
American Psychiatric Association.
<><><><><><><><><><><><>
All rights reserved. No paragraph of this publication may be
reproduced, copied or transmitted save with written permission of the
Copyright Act 1956 (as amended), or under the terms of any licence
permitting limited copying issued by the Copyright Licensing Agency,
3334 Alfred Place, London WC1E 7DP. Any person who does any
unauthorised act in relation to this publication may be liable to
prosecution and civil claims for damages.
The right of Per Hove Thomsen to be identified as authors of this
work has been asserted by them in accordance with the Copyright,
Designs and Patents Act 1988.
First published in English in 1999 by
Jessica Kingsley Publishers Ltd
116 Pentonville Road
London N1 9JB, England
and
325 Chestnut Street, Philadelphia, PA 19106, USA.
www.jkp.com
First published as Når Tanker Bliver Til Tvang: Børn og Unge med
Tvangssymptomer in 1997 by Hans Reitzels Forlag, Copenhagen.
Translated into English by Denise Christophersen
Copyright © 1996 Per Hove Thomsen and Hans Reitzels Forlag A/S,
Copenhagen
Library of Congress Cataloging in Publication Data
A CIP catalog record for this book is available from the Library of
Congress
British Library Cataloguing in Publication Data
Thomsen, Per Hove
From thoughts to obsessions: obsessive compulsive disorders in
children and adolescents
1. Obsessive-compulsive disorders in children
2. Obsessive-compulsive disorder in adolescents
I' Title
618.9'285227
ISBN 1-85302-721-9
Printed and bound in Great Britain by
Athenaeum Press, Gateshead, Tyne and Wear
Page 5
Contents
FOREWORD 7
1 9
The definition of OCD
2 13
Earlier attitudes to OCD
3 15
The clinical picture
4 33
How common is OCD?
5 39
Cultural aspects of OCD
6 43
Obsessive features as part of normal development
7 49
The course of OCD
8 59
OCD seen in relation to other mental illnesses during
childhood and adolescence
9 79
The treatment of OCD
10 95
What are the causes of OCD?
11 101
How can one determine whether a child has OCD?
12 107
Epilogue
APPENDIX I 109
CHILDREN'S YALE-BROWN OBSESSIVE
COMPULSIVE SCALE (CY-BOCS)
APPENDIX II 135
INTERNATIONAL CLASSIFICATION OF OBSESSIVE
COMPULSIVE DISORDER
APPENDIX III 137
DIAGNOSTIC CRITERIA FOR OBSESSIVE
COMPULSIVE DISORDER
REFERENCES 139
SUBJECT INDEX 145
AUTHOR INDEX 149
Page 7
Foreword
A number of people, children as well as adults, have experienced mild
forms of obsessive/compulsive symptoms in their everyday lives.
Most of us have experienced the need to check that a door is locked
one extra time (even though we have only just locked it, and are sure
that it is, indeed, locked). Some of us have, also, experienced the need
to check that the oven has been turned off, or that other electrical
appliances have been properly switched off, before having the peace
of mind to go to bed at night (just in case we had forgotten). We can,
however, reassure ourselves, by checking a couple of times, that the
door is locked, that the oven is turned off, and so on. We are thus not
haunted by the nagging doubt, or the compulsive doubting, that is
experienced by patients suffering from obsessive compulsive disorder
(severe obsessive symptoms).
The idea of writing this book developed out of my clinical work in the
field of child and adolescent psychiatry. Having seen many children
and adolescents with severe obsessive compulsive disorder (OCD), I
have observed the patients and their relatives and have identified their
need for more knowledge of the disorder. This book is, therefore,
dedicated to them.
In addition, the book is written for professional people who, in their
everyday lives, deal with children and adolescents suffering from
OCD. This applies to teachers, doctors, psychologists, social workers,
nurses and educationalists.
I extend my thanks to my colleagues within child and adolescent
psychiatry for their inspiration, as well as to the numerous young
patients and their families who have taught me so much about OCD.
Note: masculine and feminine pronouns have been used